Research and continuous improvement: the merging of two entities?

E Morrison, D Mobley, B Farley
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Abstract

Hospital administrators are under pressure to provide a quality product at reasonable prices. As a result, all aspects of hospital structure and culture are under review, which places continuous improvement (CI) programs addressing quality and satisfaction in a more prominent role. Although the theory, data collection methods, and analysis techniques of continuous improvement have grown considerably since the days of quality assurance, clinical problems in healthcare organizations are also increasingly complex and difficult to solve. From this perspective, research has a great deal to offer our current continuous improvement efforts. This paper proposes that CI and research are similar problem-solving approaches, based on philosophies that provide direction for theorizing, collecting and analyzing data, and identifying solutions. A clinical problem elaborates on the similarities of each approach. Finally, common misconceptions are discussed.

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研究和持续改进:两个实体的合并?
医院管理者承受着以合理价格提供优质产品的压力。因此,医院结构和文化的各个方面都在审查之中,这使得解决质量和满意度的持续改进(CI)计划发挥了更加突出的作用。尽管自质量保证时代以来,持续改进的理论、数据收集方法和分析技术已经有了很大的发展,但医疗保健组织中的临床问题也越来越复杂和难以解决。从这个角度来看,研究对我们目前的持续改进工作有很大的帮助。本文提出,CI和研究是类似的解决问题的方法,基于为理论化、收集和分析数据以及确定解决方案提供方向的哲学。一个临床问题详细阐述了每种方法的相似之处。最后,讨论了常见的误解。
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